HomeMy WebLinkAboutBLD2008-02095 ELECTRIC APPLICATION.TIF01/0 2009 08:14 8282564138 STEVEN CENTER ELECTR PAGE 01
( ) 48399 arse Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(828) 4668962 Newton F ax Number Application for Permit TO THIS NUMBER t )
(824,3224814 Hickory Fax Number h www catawbacauntync.gov
P,0 Box 389 Newton, NC 28658
Tvoe otPs®fl d []Plumbing ❑ Mechanical []Fire Date —
Active Building i Mobile Home Permd / Property ID # (If known)
s @ no acOve BuBdrtq or Mobile Home penult pleaee Ile! delving diracflone from o ffujor IMersecitloo: O
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Physical 911 Address of
Owner or Business 7�
Address
Subcontractor :
Address
F—
ErJ�e r� Telephone 3f(/' L,SO /
i1 L1rl&, j\J E, oA , C_ d �� ° / Cleanse# ;113 -1 --
General Contractor
Telephone
Design Professional
Telephone
Address
NC Reg #,
ELECTRICAL (Us[ aedr panel separately)
❑ New Building Wring
❑ Additional Service (e)jstng bldg)
[] Addition of Sub Panel
❑ Saw Service
❑ Sign Service
❑ Service Repair
Panel # I_ Amps Panel 0 2_ Amps Panel # 3� Amps Panel 0 4 Amps C,
E] Pole Service ❑ W Mechanical unit ory (No Svc Chg) TOM
❑ Service Chg. Amps— ❑ Interior Wring (No Service Chan ) l
[3 Load Control [I RV Service 4 '� n
❑ Mobile Home W Oyer (List) N o A P1 � o k Eqr �P
❑ Modular Home Total Bad iod Coal 8 �; u e 5
❑ Swimmi P ool (work you"
UMBING (Indude all fu4ne rooms that may be mibgl ed in) - -
❑ Full Bathrooms Total 41 inetdled_
• Half Belhrooma (Toilet & Sink only) Total # installed, ❑ Gas I_ktalPreeeure Test only
• Mobile home (new setup only) ❑ Modular Home
❑ Water Healer (Electric, Gas) ❑ Other (List)
1
�i Cat A n e s
MECHANICAL (Check One) ❑ New Instalation ❑ Charge out sAting system
❑ Heat Pump or Furnace with AIC Total 0 ❑ Gas Line/ Pressure Test ❑ Other (List)
* Furnace (Oil, Gas, or Eiedric) Total # � ❑ Gas Logs Total # _ L] Mobile Hone
❑ Air Conditioner Total 0 ❑ Unit Heats Total o,
❑ Water Heater (BedriciGes) Total #— ❑ Modular Home
FIRE (Check permit type appkrmbla)
❑ Fire E Iinguishing System
❑ Compressed Gases
❑ Spraying & Dipping
❑ Fire Ala moVeledion System
❑ Hazardous Materiels
❑ Standpipe Systems
❑ Fire Pumps & Related Equipment
❑ Industrial Ovens
❑ Temp. Membrane Swdurae
❑ Flammable & Combustble Liquids
l7 PVT Fire Hydrants
❑ Other
"Apr tee entered by Permit Center, 29M
charged for work started prior to obtaining peima. °The undersigned makee application tot
pemrits end inspection of work described agrees b comply with all applicable soft, Coup
a d heirs regulating the work,
/ and
PRIM �7F ✓� L ENT
/Z- SIGNATURE
co�dee
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